Lifepoint Dental Group Of St. Charles | |
1360 S 5th St Suite 270 Saint Charles MO 63301-2449 | |
(636) 940-2543 | |
(888) 278-0530 |
Full Name | Lifepoint Dental Group Of St. Charles |
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Speciality | Dentist |
Location | 1360 S 5th St, Saint Charles, Missouri |
Authorized Official Name and Position | Aaron Blass (PRESIDENT) |
Authorized Official Contact | 5159651800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lifepoint Dental Group Of St. Charles 1360 S 5th St Suite 270 Saint Charles MO 63301-2449 Ph: (636) 940-2543 | Lifepoint Dental Group Of St. Charles 1360 S 5th St Suite 270 Saint Charles MO 63301-2449 Ph: (636) 940-2543 |
NPI Number | 1023403433 |
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Provider Enumeration Date | 04/02/2015 |
Last Update Date | 04/02/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023403433 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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